Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $714.80 / $1,831.00	Facility		$121.27	$714.80	$1,831.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $172.03 / $280.00	Professional		$121.27	$172.03	$280.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.99 / $213.99 / $419.93	Professional		$213.99	$213.99	$419.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.46 / $160.46 / $160.46	Facility		$160.46	$160.46	$160.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $279.00 / $279.00	Professional		$279.00	$279.00	$279.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.49 / $127.49 / $1,437.37	Facility		$127.49	$127.49	$1,437.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $209.54 / $332.00	Professional		$127.60	$209.54	$332.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $858.00 / $1,957.00	Facility		$455.00	$858.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $199.95 / $397.18	Professional		$161.18	$199.95	$397.18